Individual
KERI SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNOR, RNFA
Contact information
Practice address
617 NW 112TH AVE, PORTLAND, OR 97229-6118
(562) 704-9323
Mailing address
617 NW 112TH AVE, PORTLAND, OR 97229-6118
(562) 704-9323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201140393RN
OR
163WR0006X
Registered Nurse First Assistant
Primary
201140393RN
OR
Other
Enumeration date
06/15/2020
Last updated
01/06/2022
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